[Intraoperative dilatation of the ilio-femoral segment combined with reconstructive operations on the femoral arteries in "multi-level" lesions in patients from the risk group].
The authors analyse experience in the treatment of 96 patients at an increased risk of intervention. Ischemia of the lower extremities with relatively maintained peripheral vascular bed was the main criterion of an indicated operation. The malleolar systolic pressure index of at least 0.35 +/- 0.15 was considered essential in this case. With consideration for the risk, the interventions were carried out mainly under peridural anesthesia. Intraoperative dilatation of the iliac arteries was conducted under radiotelecontrol in combination with profundoplasty, thrombendarterectomy from the femoral arteries, and femoropopliteal autovenoplasty. The efficacy of the operations was appraised by intraoperative angiography, electromanometry, and blood flow measurement. The results were studied in follow-up periods of up to 3 years. In the group of 96 patients 8 had poor results. Amputation of the extremity was performed in different periods.
Karimov
Sh I
ShI
Ganiev
A M
AM
Krotov
N F
NF
Ismaĭlova
D A
DA
Osipov
N G
NG
D000368:Aged; D001162:Arteriosclerosis Obliterans / Q000150:complications / Q000601:surgery*; D002404:Catheterization; D004691:Endarterectomy; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007430:Intraoperative Care; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008875:Middle Aged; D014654:Vascular Patency
Intraoperatsionnaia dilatatsiia podvzdoshno-bedrennogo segmenta v sochetanii s rekonstruktivnymi vmeshatel'stvami na bedrennykh arteriiakh pri "mnogoétazhnykh" porazheniiakh gruppy riska.